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General NPI Number Information
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NPI Number | 1992007553
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Entity Type | Individual
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Provider Name | JOSEAN VARGAS MAISONET PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 49 CALLE CUARZO MIRABELLA VILLAGE CLUB
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City | BAYAMON
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State | PR
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Zip | 00961-4821
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Country | US
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Telephone | 787-313-1749
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Fax |
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Provider Business Mailing Address
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Address Line | MIRABELLA VILLAGE CLUB CALLE CUARZO #49
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 005429
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License Number State | PR
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